Chronic II Midterm

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The nurse is caring for an adult paraplegic with an ostomy. Which is an appropriate statement for the nurse to make?

"Do you need assistance managing your ostomy?"

Which client statement demonstrates the most positive aspect of treating clients with mental illness in community-based care?

"I can live in my own home and still see a therapist regularly."

A client from a low socioeconomic background was diagnosed with a chronic health problem. The client states, "Everyone has to die of something." What is the most appropriate response for the nurse?

"You can do some things to minimize the effects of this disease on your health."

The nurse is concerned that a client with a disability has missed two follow-up appointments. Which action will the nurse take to support this client?

Contact the client to inquire if they have transportation to the appointment.

The community health nurse wants to understand the trend of teen suicide rate in the community. Using an evidence-based approach, which action will the nurse take first?

Define the clinical question.

A nurse prepares a diabetes prevention health seminar for community residents. Her teaching points should emphasize the most important factor influencing metabolic syndrome (pre-diabetes). What is that factor?

Obesity

Which item is considered the standard of care in psychiatric nursing and mental health care?

Evidence-based practice

A client has lost mobility following a stroke. The nurse has established interventions that include providing direct care to the client, teaching, making referrals, and managing the case, to meet the goal. The next step is to

Plan with the client how to incorporate the regimen into the client's activities of daily living.

Which sets professional standards of care?

Professional nursing organizations

What nursing action demonstrates the intended impact of the American Nurses Association (ANA) standards of care on mental health nursing care?

Referring to the standards to determine if a particularly prescribed treatment falls within the scope of a nurse's practice.

The nurse is caring for a client with a disability that affects speech. Which action will the nurse take to facilitate communicating with this client?

Request a speech therapist assist.

The number of people with disabilities is expected to increase over time. What is a major contributor to this prediction?

The survival of people with severe trauma, chronic disorders, and early-onset disabilities

A psychiatric-mental health clinical nurse specialist is conducting an in-service program for a group of psychiatric-mental nurses. The clinical nurse specialist is discussing the use of evidence-based practice, describing it as a:

problem-solving approach to clinical decision making.


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